Avir at Texarkana
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 14 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (17 vs median 8.0)
- High staff turnover (54%)
Below average in Texas · Below recommended RN staffing · No penalties on record · Abuse citation
What this means for your family
This facility presents significant risks regarding medical safety and basic care standards. While the presence of a locked memory care unit was once seen as a strength, recent reports of insulin errors and unmanaged medical conditions are critical red flags that require immediate investigation.
Google Reviews
Google Reviews
14 reviews on Google“Families should exercise extreme caution, as recent reviews report severe medical neglect, including failure to administer insulin, loss of dental hardware, and unmanaged pneumonia. While some older reviews mention a positive outlook for the memory care unit, recent feedback highlights critical failures in basic care, communication, and even allegations of staff preventing employees from leaving their shifts.”
Quality Themes
Tap a score for detailsStrengths
- Availability of a locked memory care unit
- Close interpersonal bonds between staff and certain employees
Concerns
- Severe medical neglect and medication errors
- Poor communication from administration (mentioned by 2 reviewers)
- Inadequate hygiene and incontinence care
Rating Trends
Tap a year to see what changed
Distribution · 15 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Can you walk me through the specific protocols your team uses to ensure medication is administered accurately and on schedule every day?
- 2How does the administration ensure that families are kept updated and informed about any changes in a resident's health or daily care?
- 3What steps are being taken to improve the cleanliness of the resident rooms and common areas to ensure a comfortable environment?
- 4Could you tell me more about the daily activities and social engagement opportunities available for residents in the memory care unit?
- 5What is the process for managing hygiene and incontinence care to ensure every resident's dignity and comfort are maintained?
- 6In the event of a medical emergency during the night, what is the immediate procedure for notifying both the medical team and the family?
Personalized based on this facility's data
Key Review Excerpts
“My dad was at this place 3 days when I pick him up no one help me put him in his wheelchair nor in my car; the never gave him his insulin they lost his teeth he left there with pneumonia and sugar level at 480.”
“My girlfriend hasn’t been able to communicate with her grandmother for 7 months. Has been told she couldn’t, haven’t be answering calls, poor communication.”
“I'm giving this place 5 stars because my father may be residing here soon, and this may be the best place in Texarkana with a "locked" unit.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
7
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of recurring issues, particularly families have filed complaints triggering 9 deficiencies including serious concerns about abuse protection, accident prevention, and safety equipment. The most problematic areas are food safety and dietary services (cited across multiple surveys), accident prevention and safety, and fire safety systems. While the facility corrects deficiencies when cited, the repeated violations in core safety areas suggest ongoing operational challenges that families should carefully consider.
Mar 6, 2026Complaint2
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 4, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 21, 2025Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 11, 2025Routine17
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Environmental Deficiencies
Keep all essential equipment working safely.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Jun 11, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 25, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Mar 6, 2026
$127,250
Ownership & Operations
Who Operates This Facility
Guadalupe County Hospital Board
for profit
4925 ELIZABETH STREET OPCO, LLC
MARY HARTFIELD
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 56 of 90
Ownership & Management
Owners
Guadalupe County Hospital Board
Owner · Organization
Dagan, Amitai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Freund, Nochum
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Abraham
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Faigy
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
14 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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